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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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She's on home oxygen, noncompliant with meds and can't take more than 2 steps. Shes been there for 60 days and needs more skilled care. She's on Medicare. How can I convince them she needs to stay longer?
Im a lifelong asthmatic getting worse as I age. And now complicated by the fact I have heart disease since 53. I'm now 55.
Best I can say if I were advocating for myself, and not nicely is, "you are sending me home to die alone of preventable disease in the wealthiest country on Earth and you don't care."
She should be transferred to the Long Term Care unit of said NH. Also, the number of allowed Medicare days may have run out. I don't know if she has a Medicare Supplement Plan and if so, which "Letter" and whether the NH accepts it.
Did she come from being admitted to a hospital first?
Depending on her admission diagnosis, medicare usually pays by “groups”. In other words, people who have had similar health issues and how long they were in rehab. They do not go by your stepmom’s personal situation.
For instance, if the majority of people get better and discharged in 45 days, this is what they go by.
The good news is, since she has been in rehab more than 30 days and cannot be discharged under her own care, she can apply for Medicaid and she can stay at the NH facility under medicaid pending. Contact the NH case worker to help you apply. Keep in mind that Medicare stops paying on the day they “discharge” her.
I wish I had known about the Medicaid when my mom went through a similar experience.
Pattyreddp: So you're saying that they don't have a bed for her in the Long Term Care unit of this same NH? Not so genius idea to send her home. I know Nursing Homes all too well and the way they operate. The one my late mother was in told her that she was too well to stay there. Come again??! Less than 48 hours later she suffered a stroke there and died days later at the hospital.
When my dad was in rehab with medicaid LTC pending, they kept him in the rehab wing until a LTC bed became available. This woman doesn't have the wherewithall to pay for 24/7 care. Someone must help advocate for her.
Having worked in LTC, I find this quite bizarre. Once it becomes apparent that the resident is nearing the end of their stay, P.T does a home eval. If the resident is safe to go home then measures are taken to ensure DME equipment, etc., is ordered and set up. If the resident is not safe to go home, and appears to need long term care, then a care plan meeting is set up to help the family with the arrangements, and the resident stays in the rehab wing until a bed becomes available. Furthermore, if they cannot stay at the current facility, then they and the family make arrangements for another LTC facility transfer. A resident CANNOT be discharged to an unsafe environment. I would contact whomever governs LTC facilities in your state....
Patty, thanks so much for coming back. I would call or write to the state ombudsman and file a complaint. Talk to the SW at the hospital about how to prevent this from happening again.
These facilities are protecting themselves first and foremost, as well as trying to prevent having to bill Medicare/Medicaid for care. Facility did not want any issues to happen while she was there, hence the rush to get her discharged and out of their hair.
Your mother is noncompliant. She needs both a geriatric psych consult along with palliative care. Someone needs to help you and her manage your expectations of what is and is not possible to improve her condition. A rehab facility is not a nursing home although they are often the same facility. If she needs a nursing home placement, now seems like a good time to get that done.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Best I can say if I were advocating for myself, and not nicely is, "you are sending me home to die alone of preventable disease in the wealthiest country on Earth and you don't care."
Depending on her admission diagnosis, medicare usually pays by “groups”. In other words, people who have had similar health issues and how long they were in rehab. They do not go by your stepmom’s personal situation.
For instance, if the majority of people get better and discharged in 45 days, this is what they go by.
The good news is, since she has been in rehab more than 30 days and cannot be discharged under her own care, she can apply for Medicaid and she can stay at the NH facility under medicaid pending. Contact the NH case worker to help you apply. Keep in mind that Medicare stops paying on the day they “discharge” her.
I wish I had known about the Medicaid when my mom went through a similar experience.